護理師督導一名照顧癲癇病史病人的照服員（UAP）。下列何種觀察顯示 UAP 的操作是安全的？
A nurse is supervising an unlicensed assistive personnel (UAP) who is providing care for a client with a history of seizures. Which observation by the nurse indicates that the UAP is performing safely?
- AAttempting to feed the client while they are post-ictal在患者處於發作後狀態時嘗試餵食
- BRestraining the client's arms to prevent injury during shaking在顫抖期間約束患者雙臂以防止受傷
- CPlacing a padded tongue blade in the client's mouth during a seizure在癲癇發作期間將墊有軟墊的壓舌板放入患者口中
- DTurning the client to their side and clearing the immediate area✓ 正解將患者轉向側臥並清理周圍區域
癲癇發作時的護理重點為保護頭部與呼吸道通暢。側臥可防止吸入性肺炎，清理週遭環境避免碰撞。不可強行放入物品於口中，因為可能造成牙齒碎裂或吸入；亦不可約束病人肢體，避免造成骨折，且應等完全清醒後再進食，以免嗆食。
The focus of nursing care during a seizure is to protect the head and maintain airway patency. Side-lying position prevents aspiration pneumonia, and clearing the surrounding area prevents trauma from collisions. Objects must not be forced into the mouth, as this can cause tooth fractures or aspiration; nor should the client's extremities be restrained, to avoid fractures. The client should be allowed to fully regain consciousness before being fed, to prevent choking.
美台臨床對於癲癇發作的「禁止放入異物」共識一致，但美國護理師常授權 UAP 執行 Seizure Precautions。